Organization Active NPI

Georgia-Lina Home Care

  • Home Health Registered Nurse
  • North Augusta, SC
National Provider Identifier
1336811504
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
GEORGIA-LINA HOME CARE
Practice address
120 Floyd Ave
North Augusta, SC 29841-4276
Phone
(803) 426-8071
Fax
(803) 426-8144
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Martrino Denise Godley, RNNPI 1790650695
Title
Owner
Phone
(706) 373-4454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

120 Floyd Ave
North Augusta, SC 29841-4276

Mailing address

120 Floyd Ave
North Augusta, SC 29841-4276
Phone (803) 426-8071

Other identifiers 1

IdentifierTypeStateIssuer
EX1823MedicaidSC

Other names 1

  • Georgia-Lina Care Management Former legal business name

National Provider Directory

National Provider Directory

Locations

120 Floyd Ave
North Augusta, SC 29841
Phone (803) 426-8071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1336811504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FLOYD AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414276",
            "telephone_number": "803-426-8071",
            "fax_number": "803-426-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FLOYD AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414276",
            "telephone_number": "803-426-8071",
            "fax_number": "803-426-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA-LINA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "GODLEY",
        "authorized_official_first_name": "MARTRINO",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-373-4454",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1823",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia-Lina Care Management",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Georgia-Lina Care Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.